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PLUMBING PERMITSMIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby anal for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other st.�-+uctw herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division cf Aiinnai Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at LiLing during progress of work. ��// , � - L ev:ate3 s Name and Address .F/A __ - - 1. Ll. S No. _� - S- `l._ .__. Street_/�! - g 5 r Registered Architect and /or Engineer ..... __ -___— .___ — - _ __ _ Employing Plumber's N a m e � . r 4.-1__X 0179R R 7 Oil/ 4 A SSP C __. No._ _-._ . Street- . - - - - -- - ___ -- Lecatioa and Legal Description Lot-1_2_. :::?-...2......-. 2 I -- c5 / — Block q - Subdivision4L PP R �� / `' Stifeet and Number where work is to be performed—No n 1' '�' 7 s J Street. State work to be performed and purpose of building (By Floors)___._. iesa Zuilding ____° - Remodeling _________.._ —__ Addition_._______ Repairs No. of Stories. / Amount of Permit $ - - - 1 —�j Size Septic Tank -------------- - - - - -- - _ Type of Tank Feet of Drain Tile -__ - -_ _ -- __Dist. Feet of Tank or Drain Field from Well ............. __.._..._ Nature of Water Supply: City— ..... of Soakage Pit Capacity Gals._ (Signed)_ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige' ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennapen Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors elnplo ed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the s e o the work suc)L. liublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, "% wt rk to be performed under this permit, as are licensed by Miami Shores Village. Date 'Z. Z.-- r — . Master Plumber. Plumbing Inspector. STATE OF FLORIDA, I ex COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_.__ c2i the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CL.:ca•;0 BATH TUBS SHOWERS LAVA. Toluca 8 &INKS SLOP LAUNDRY URINALS SINKS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. Laew CwasK---I--- 7i— — r -- SEPTIC TANS SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'o POOL Lir r / - CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby anal for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other st.�-+uctw herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division cf Aiinnai Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at LiLing during progress of work. ��// , � - L ev:ate3 s Name and Address .F/A __ - - 1. Ll. S No. _� - S- `l._ .__. Street_/�! - g 5 r Registered Architect and /or Engineer ..... __ -___— .___ — - _ __ _ Employing Plumber's N a m e � . r 4.-1__X 0179R R 7 Oil/ 4 A SSP C __. No._ _-._ . Street- . - - - - -- - ___ -- Lecatioa and Legal Description Lot-1_2_. :::?-...2......-. 2 I -- c5 / — Block q - Subdivision4L PP R �� / `' Stifeet and Number where work is to be performed—No n 1' '�' 7 s J Street. State work to be performed and purpose of building (By Floors)___._. iesa Zuilding ____° - Remodeling _________.._ —__ Addition_._______ Repairs No. of Stories. / Amount of Permit $ - - - 1 —�j Size Septic Tank -------------- - - - - -- - _ Type of Tank Feet of Drain Tile -__ - -_ _ -- __Dist. Feet of Tank or Drain Field from Well ............. __.._..._ Nature of Water Supply: City— ..... of Soakage Pit Capacity Gals._ (Signed)_ (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige' ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Pennapen Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors elnplo ed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the s e o the work suc)L. liublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, "% wt rk to be performed under this permit, as are licensed by Miami Shores Village. Date 'Z. Z.-- r — . Master Plumber. Plumbing Inspector. STATE OF FLORIDA, I ex COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_.__ c2i the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of 81.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. arr MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Appiicei;e,. hereby anal; for the approval of the detailed statement of the plans and specifications herewith submitted for the building or . other s ct-a_c ie.rein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, mad di provisions of the Laws of the State of Florida, aU ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ?raid = during progress of work. Orrne: a Name and Address Glass Shop No.__ - _ Street_- Registered Architect and /or Engineer ___ ______ ______ - -- _ — -- --------- ___ --_ Rose Septic Tank 2552 Employing Plumbers Name _. -_ No. ___._..__ Location and Legal Description ------ .__. ---- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ___ New Building.__.___ ____.__,.._. ____ Remodeling ___.__- Addition...___._ Repairs No. of Stories. _ .. — Ou r._ez 2 -80 Precast Size Septic Tank 0 Q Type of Tank _ 7.:' cat of Drain Tile. ©t Ma Dr • g9r 2 re l j nk or Drain Field from Well. 0 1- - Eirt. Dr. r ©r each a . Nature of Water Supply: City— Well .______ Size of Soakage Pit Ancunt of IPermit. $ My Commission Expires Block 555 �.. (Signed) _ � / (Signed). Date 1/9/60 ti?. 3rd Avo.,Hialeah _ -- -_ Street. ____ -_ Subdivision_..-------.-.-.-_--------__---- Street N.E. 87th St. Capacity Gals._ -1' 000 : 2.800 dal. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts , S�obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida ennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contras ors employed by him in the work to be performed uncles this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are rrtas1 by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are Ilemseil iv Miami Shores Village. to aye well known, and who, being by me first duly sworn, upon oath deposes and says that he is the___ of tin above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts - ten by hire, stated are true. Master Plumber. Oi. FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty s ateeials and /or workmanship. C60364C3 BATH TUBS S LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N8 TOTAL FIXTURES CO:V'TR. LIST CDIRPa 0 PYIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL LIST CHQCK arr MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Appiicei;e,. hereby anal; for the approval of the detailed statement of the plans and specifications herewith submitted for the building or . other s ct-a_c ie.rein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, mad di provisions of the Laws of the State of Florida, aU ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at ?raid = during progress of work. Orrne: a Name and Address Glass Shop No.__ - _ Street_- Registered Architect and /or Engineer ___ ______ ______ - -- _ — -- --------- ___ --_ Rose Septic Tank 2552 Employing Plumbers Name _. -_ No. ___._..__ Location and Legal Description ------ .__. ---- Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) ___ New Building.__.___ ____.__,.._. ____ Remodeling ___.__- Addition...___._ Repairs No. of Stories. _ .. — Ou r._ez 2 -80 Precast Size Septic Tank 0 Q Type of Tank _ 7.:' cat of Drain Tile. ©t Ma Dr • g9r 2 re l j nk or Drain Field from Well. 0 1- - Eirt. Dr. r ©r each a . Nature of Water Supply: City— Well .______ Size of Soakage Pit Ancunt of IPermit. $ My Commission Expires Block 555 �.. (Signed) _ � / (Signed). Date 1/9/60 ti?. 3rd Avo.,Hialeah _ -- -_ Street. ____ -_ Subdivision_..-------.-.-.-_--------__---- Street N.E. 87th St. Capacity Gals._ -1' 000 : 2.800 dal. Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts , S�obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida ennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contras ors employed by him in the work to be performed uncles this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are rrtas1 by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are Ilemseil iv Miami Shores Village. to aye well known, and who, being by me first duly sworn, upon oath deposes and says that he is the___ of tin above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts - ten by hire, stated are true. Master Plumber. Oi. FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty s ateeials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dates Job Address S 2 / /` � 67ii ' ` Tax Folio Legal Description Historically Designated: Yes No 4 0 1 # V ,qj( Qualifier Owner/Lessee / Tenant ,50 6 , G' IX/ ,J g Owner's Address Phone Contracting Co. ,PVXA/Ci J e�'�L State # c f Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BU 'DING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN d Vi ' /J WORK DESCRIPTION r � ' � ✓� � �/����/°� Square f. W G TO OWNER YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PA Pi TWICEFOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Appli ation is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. O 'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating con trpytion and zoning. Furthermore, I authorize the above -named contractor to do the work stated. fi APPROVED: -C ,/4:, ,7 0/ r.: ture / 6f owner and/or Condtresident Date +ae of Contractor r Owner- Builder Dat C� k Jy / , ident .� ate otary as Contract or er-Builder `l Date y p Fr ; C' „ . -I H r_;� ? I C L'.,... lre ��N PV AtdC w ltt Address Master Permit # SS# �- & Phone . f / ' 2 - 7 / 0 Estimated Cost (value) 3� r CiAi n ' -7 ,p :f:orae,0 ANo..C"•.w 7 c P : i7 ar: (II r ., C.C.F. NOTARY 5., D 0 BOND TOTAL DUE ” . L Zoning Building Electrical Mechanical Plumbing % Structural Engineer ITEM BATH TUS UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR _ RANGE TOP UNDERGROUND TANKS LAVATORY OVEN _ ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE 9-- MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTCRS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUIIP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER =IRE STANDPIPE 'OOL PIPING _AWN SPRINKLER SYSTEM 3AS RANGE 4ETER SET (GAS) 1AS PIPING' � ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date " - 0 7 - C/ Job Address 60/ jug ? M:OvS Tax Folio Legal Description Historically Designated: Owner/Lessee / Tenant �G,9' dvP p Master Permit # L/ fny Owner's Address /jt Awl � � Phone ow `i7 ; 1 BUILDIN OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurat o • , as to Owner and/or Condo Presiden My ssion Expires: FEES: PERMIT / O RADON APPROVED: Zoning Buildin b4) / Mechanical Plumbing Contracting Co. ,J /ease (7? 5 J,�s / /A/ 3 M�dio..9119 d dress / o 5 /l1 • ,:,2 6 fir' ,k liz . / V Qualifier Aix/ ,�'��7t�2�1:/f �"G> ss# � / Phone 4:�, 3/�) 9d/'� . • :?c,--1.- State # 4, - (.. O3‘).233 Municipal #‘ _ Competency # a -0).5c2;133 Ins. Co. �6A 4ler' !/ f'. lee, Address Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one) WORK DESCRIPTION ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN f2,°;G119t /? f ✓j E , ! St iftnr (f dhvovi J Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. construc ' 'n and zoning. Furthermore, I authorize the above -named contractor to ed. d that work wi be done in complian y lth all applicable laws regulating No . as o otractor or awn - -: < der Date My onuni C.C.F. NOTARY --d BOND Yes No Structural Engineer P e&L P m n /A--(0 contractor/owner, picked up 2 sets of plans for (s4 7 9 from the Building and Zoning Department on (date) d /C77 0/ to have corrections done to plans and/or get County stamps. I understand that the plans need to be brought back to Miami Shores Building and Zoning to continue the permitting process. Signature RECEIPT BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138-2382 TELEPHONE (305) 7 95 -2204 FAX (305) 756 -8972 Legal Description Owner/Lessee / Tenant /1 e Owner' Address (:// Contracting Co. ' A .) ` � i ° ro' ' Address 4 Qualifier to /v State # „ c - 3 Notary as My Co FEES: PERMIT APPROVED: Zoning Mechanical 6 `,"CC�LCF7 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Addresg o �' `` ° r" �) ' � ' Tax Folio 7/4(a /idie Municipal #O & (X 25$ Competency # ' - CZ ) mss. Co. h i s rn ( te/ SfgnatuKof owner' d/or Condo President Date `‘, \ \i \iNi S • !1!!!l� and/or Condo A�• • • �Ne Expires: e Z, - d' * i • � � #CC 835219 Q i' • eundetoo • � `!!��n�ixl;∎∎` C.C.F. G Historically Designated: Yes Signature of Contrac NOTARY Pho9 Permit Type (circle one): BUILDING ELECTRICAL LUMBING EC1IANICAL ROOFING WORK DESCRIPTION k.):1?- J2 SN,� Cr� -<S . /U /< t d :�.d ?�1�e e -�.' = ) Square Ft. Estimated Cost (value) No Phone' r 1 PAVING FENCE SIGN Architect/Engineer Address Bonding Company Address Mortgagor Address WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named con Ito do the wok stated. . _ er- Builder P ate YJ /i Notary as to Cone My Commission '' es: er- Builder ��OtttIIN `� ililq y,,kpMAS MpNO av „. c) t, 20 °- P • N• *r ® •a . • 835219 ; : lh1 11111Sttt\ \\\\ to TCO-14 I RECIZETIMLAREA 4041•11111AN ohm - joixong whey MS IOW • IMP CONISTRUCT1ON I pr.pre) C:rt mow/ possum to mom pottLtot Alto lowly/ PO i I 11 Ir I ...a. Mir OMI I EXISTING i STORAGE k i I i P.' I 11 EXISTS* 11 cr-ce l cE i i vrr et \ 1 mabilm. i j WASH AREA SEECICILEASES Or• r1 J 1-11 ay. ISELZE1121ASEA c ube selmia./ MEAN OA WV • ••• CONATIRLICTION LEGEND a====m many pennant go /1M111 p•rUtta largo) 11 I if t=r i I j N Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ‘ I N I Time Address S h Compan Approved Correction Re- Insp'n Fee For Inspector: S • "4 l Name & Date I ( 7R,AKJI C'Vv ;c7 i L ' /4 p l ( -1/01 , cam, `I _ Z >'ANL Date Job Address Legal Description p � �� c 2 Historicall y Designated: Yes Master Permit Owner/Lessee / Tenan Owner's Address Contracting C°X to ) Qualifier)( 6 C Municipal # State # Square Ft. My 4 FEES: PERMIT APPROVED: PERMIT APPLICAION,FOR MIAMI SHORES VILLAGE � / i • ' S i g n a t u r e of o. n ; and/o • t as to Owner ommission Expires: r • • President r � ondo Pre y'i ent Date 1. a�V•�J RADON Tax Folio 3 c r 1 CAD ()eft O Phone' 7 (, - I L A G X65' Pi. t.I E ddress /a r Kfi SS# - Phone Competency 16 C 2 ? Ins. Co. L list, Architect/Engineer Address Bonding Company Address 4 D 0 / Address Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION _ .� -s - ( - « �, c � Estimated Cost (value) * r j WARNING TO OWNER: YO J'MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMP OVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BE7ORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 1 arndet ttand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. , OWNER'S AFFIDAVIT: I certify that all the foregoing information is acc�rate and that all work will b done in co : lance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named tractor to do the work stat Signature of Contractor o otitrac y Co s 'on Expires: c _ C.C.F. \ b la NOTARY () — BOND - Builder • - TOTAL DUE ,t P Da te , Datg ITEM BATH TL8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DIShWASHER RECEPTACLES A/C (WIND) DIS??OSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION pREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY - OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTCRS OVER 1- 3 I-P HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP _ TRANSPORTING ASSEMBLIES SINK, SLOP MJTCRS OVER 8- 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS RATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS ' HEATER -NEW INST. GENERATORS TRM SFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL CUTLETS CChtRCIAL WATER SERVICE SIGN TUBES . SEWER CONNECTIONS SIGN TRANSFOR1T RS JTILITY -SEWER SIGN TIME CLOCK JTILITY -WATER FIXTURES ;EPTIC TANK ANTENNA ■ELAY TELEVISION OUTLETS IRAINFIELO, 4" TILE/RES. VIOLATION 'U MP & ABANDON SEPTIC TANK REINS?ECTION ;OAKAGE PIT CU. FT. :ATCH BASIN ISCHARGE WELL 'OMESTIC WELL REA DRAIN COF INLET OLAR WATER HEATER IRE STANDPIPE COL PIPIN AWN SPRINKLER SYSTEM AS RANGE _TER SET (GAS) AS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) J t c_ Cl�vu ELECTRICAL MECHANICAL )f t or er . on Lot BI. Subdi- vision of Value of Project $ Amt. of Permit $ ry ' BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Architec Contract or Build Legal Descript Address Building MIAMI SHORES VILLAGE, FLORIDA PERMIT IN? 13082 DATE Work to be performed under this Permit 195 Contractor's License No This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Permit No. ..... Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept ai building during progress of work. Owner's Name and Address. - -- _ - --. - _r__ -- -- - -- -- __ . __� No. k�` Street-_- _- -_---_ -_ Registered Architect and /or Engineer ----------------- O Employing Plumber's Name • 1 ° " 'Q..,_' ' No._I_ - - - Street - - -- Location and Legal Description Lot___-. ................. _ -• - - - - -_- - _ -- --.— Block__ -- Subdivision Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) New Building____ Remodeling Addition Size Septic Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Su p y: City - `yell Amount of Permit $ /' 1' " ---------- - - - - -- -_�_ (Signed) - • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank____.. (Signed)._ Street Repairs No. of Stories Capacity Gals._ _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all Etc therein by him stated are true. My Commission Expires Notary Public, State of Florida OTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fain gmaterials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY "rues U RINALS CATCH FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURE: 4,- - CONTR. LIST CHECK / ss --/ / n " , S _ � c - SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK � , ^ Permit No. ..... Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept ai building during progress of work. Owner's Name and Address. - -- _ - --. - _r__ -- -- - -- -- __ . __� No. k�` Street-_- _- -_---_ -_ Registered Architect and /or Engineer ----------------- O Employing Plumber's Name • 1 ° " 'Q..,_' ' No._I_ - - - Street - - -- Location and Legal Description Lot___-. ................. _ -• - - - - -_- - _ -- --.— Block__ -- Subdivision Street and Number where work is to be performed -No State work to be performed and purpose of building (By Floors) New Building____ Remodeling Addition Size Septic Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Su p y: City - `yell Amount of Permit $ /' 1' " ---------- - - - - -- -_�_ (Signed) - • MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Type of Tank____.. (Signed)._ Street Repairs No. of Stories Capacity Gals._ _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all Etc therein by him stated are true. My Commission Expires Notary Public, State of Florida OTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fain gmaterials and /or workmanship. Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addresi4IAI L SHOPP,S OPTTMTST ( T1R N 11110 Registered Architect and /or Engineer £mployin$ f lumber's Name BROOKS AMERICAN SPRINKLER CO Location and Legal beset1ption Lot Street and Number where work is to be performed —No 111 10 State work to be performed and purpose of building (By Flocrs)__._._ New Building- - - - -._ _ _.._.........._.. Remodeling__...._...._.__ Addition. Bkx� • Size Septic Tangy Type of Tank-- Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well ..._._ Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit 1 to me well known, and who, being by me first duly of the above described construction, that be has therein by him stated are true. t4etery Pub9iir, Stugo ffiorica Bonded Thru Troy Fain - Insurance Inc 2430 r Na....,- ._...�.._.••..�........ /trt.,■ f . ewe . ST (Signed) Y' fe.zie, (Signed) Date •. 11 / 15 / 90 - .-- _..._...._.____...._ ._ -• -•— — Street.N_ MIAMI AVE. S ubdivision._.__ - -. Street. N_ MIAMI _ AVE. . . Repairs No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, end IIr. com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worm to he performed under this permit; and will post or cause to be posted' for inspection on the site of the ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such tab - contractors, on work the performed under this permit. as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acloiowledgwents, personally appeared sworn, upon oath deposes and says that he is the .__ ... . ........._. easefully read the foregoing app tion, and that he did sign the same, and that all facts A "._d; / Notary Public, State of Florida NOTE: A re- inspection fee of 81.00 will be shade wbw swab rwlaspaotias Is Nadir neamenry by kseg.rop er notion fx fnepectlon, cr faulty materials and /ar workmanship. CLOSETS BATH TVa• SHOWERS a LAVA- To SINKS SLOP aINK[ LAUNDRY Tutt URINAL[ CATCH BASIN FLOOR DRAIN DRINKING FOUNT'N• TO - AL PItTU.1V CONTK. LIST CHECK — — SEPTIC TANK Oilman CONN. DRAIN FIILO BOAKAO[ PIT G TRAP SOLAR HEATER DIP / / WILL fa. / •PRKLR. e M eWIM•O POOL � CoorrT. LIST I CHECK Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Addresi4IAI L SHOPP,S OPTTMTST ( T1R N 11110 Registered Architect and /or Engineer £mployin$ f lumber's Name BROOKS AMERICAN SPRINKLER CO Location and Legal beset1ption Lot Street and Number where work is to be performed —No 111 10 State work to be performed and purpose of building (By Flocrs)__._._ New Building- - - - -._ _ _.._.........._.. Remodeling__...._...._.__ Addition. Bkx� • Size Septic Tangy Type of Tank-- Feet of Drain Tile Dist- Feet of Tank or Drain Field from Well ..._._ Nature of Water Supply: City—Well. Size of Soakage Pit Amount of Permit 1 to me well known, and who, being by me first duly of the above described construction, that be has therein by him stated are true. t4etery Pub9iir, Stugo ffiorica Bonded Thru Troy Fain - Insurance Inc 2430 r Na....,- ._...�.._.••..�........ /trt.,■ f . ewe . ST (Signed) Y' fe.zie, (Signed) Date •. 11 / 15 / 90 - .-- _..._...._.____...._ ._ -• -•— — Street.N_ MIAMI AVE. S ubdivision._.__ - -. Street. N_ MIAMI _ AVE. . . Repairs No. of Stories Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, end IIr. com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the worm to he performed under this permit; and will post or cause to be posted' for inspection on the site of the ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such tab - contractors, on work the performed under this permit. as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acloiowledgwents, personally appeared sworn, upon oath deposes and says that he is the .__ ... . ........._. easefully read the foregoing app tion, and that he did sign the same, and that all facts A "._d; / Notary Public, State of Florida NOTE: A re- inspection fee of 81.00 will be shade wbw swab rwlaspaotias Is Nadir neamenry by kseg.rop er notion fx fnepectlon, cr faulty materials and /ar workmanship.